Active NPI
Cassandra Crotty, PTA
- Physical Therapy Assistant
- Cedar Falls, IA
National Provider Identifier
1760046338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 093523
- Practice address
- 211 W 6TH St
Cedar Falls, IA 50613-2859 - Phone
- (319) 277-3166
- Fax
- (319) 266-4846
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 093523 | IA | Primary |
Addresses
Primary practice location
211 W 6TH St
Cedar Falls, IA 50613-2859
Mailing address
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780687939 | Medicaid | IA |
Other names 1
- Cassandra Sprague
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csprague@agapetherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093523 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1760046338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W 6TH ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132859",
"telephone_number": "319-277-3166",
"fax_number": "319-266-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W 6TH ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132859",
"telephone_number": "319-277-3166",
"fax_number": "319-266-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTTY",
"first_name": "CASSANDRA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "093523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780687939",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csprague@agapetherapy.com",
"affiliation": "N",
"endpointDescription": "Employer email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "211 W 6th St",
"city": "Cedar Falls",
"state": "IA",
"country_code": "US",
"postal_code": "506132859",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "SPRAGUE",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.